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Contact Information

MARGARET M HEFFERNAN, PHD
927 S 8TH ST
STE 307A
MANITOWOC, WI54220-4542
 Phone: 920-683-2090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARGARET M HEFFERNAN · (Female)

NPI Number 1427064922
Status Active
Credentials PHD
Entity Individual
Enumeration date 08/01/2006
Last updated 01/13/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 267EUW
  • WI Medicaid 39146900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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